| 12/15/2011 |
| 10:12:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FRASCHT, MARCIA | 1Z-002325 | 3 | 5.00 | 5499********5774 | R3633B | 12/15/11 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 5.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |